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Orientation Or Disorientation? A Critical Content Analysis Of Refugee Cultural Orientation Curriculum., Amanda Jean Lacey Dec 2025

Orientation Or Disorientation? A Critical Content Analysis Of Refugee Cultural Orientation Curriculum., Amanda Jean Lacey

Electronic Theses and Dissertations

Cultural Orientation (CO) is a free, legally mandated, multi-session program intended to provide refugee newcomers ages 18-65 with the knowledge, skills, and attitudes needed to integrate and achieve self-sufficiency in the United States. Despite occurring at a critical time in the resettlement process, there has been almost zero scholarship analyzing the content or efficacy of domestic CO curriculum. This dissertation addresses that gap by performing a Critical Content Analysis (CCA) on The Road Ahead (TRA), the de facto official CO curriculum promoted through the Cultural Orientation Resource Exchange (CORE). Framed by a postcolonial perspective and informed by the …


Direct And Satellite-Based Quantification Of Greenhouse Gas Fluxes In Small Ponds., Mark Christopher Tierney Dec 2025

Direct And Satellite-Based Quantification Of Greenhouse Gas Fluxes In Small Ponds., Mark Christopher Tierney

Electronic Theses and Dissertations

As evidenced by their historic losses due to anthropogenic activities, wetlands are undervalued ecosystems that provide numerous ecosystem services, from recreational opportunities to carbon (C) storage. However, these wetlands are also the largest natural source of atmospheric methane (CH4). Additionally, small water bodies (< 10,000 m2) are disproportionately large emitters relative to larger lakes and reservoirs. As construction and restoration efforts proceed, it is crucial to identify wetlands that need restoration and to understand the factors driving both greenhouse gas (GHG) fluxes and the C balance of these systems. This dissertation investigates the drivers of greenhouse gas fluxes …


A Ralgef Inhibitor Suppresses Lung Cancer Stem Cell Development And Tumorigenesis., Raphael Ngozichi Suarez Jigo Dec 2025

A Ralgef Inhibitor Suppresses Lung Cancer Stem Cell Development And Tumorigenesis., Raphael Ngozichi Suarez Jigo

Electronic Theses and Dissertations

The RALGEF family of proteins are direct downstream effectors of the RAS oncoprotein. RALGEFs act as guanine nucleotide exchange factors (GEFs) for downstream RAL proteins, thus tying RAS to the regulation of RAL. Genetic studies have demonstrated RAL proteins to be key drivers of RAS-driven transformation and metastasis. Furthermore, this pathway has been implicated in chemoresistance, exocyst-mediated transport, and the modulation of cancer stem cells. Previous work in our lab reported the activity of a novel pan-RALGEF inhibitor (C4-180) against RAS-driven pancreatic cancer models. Here we show the agent to be active against in vitro and in vivo models of …


A Comparision Of Teachers' Ratings Of Published Versus Ai-Generated Descriptions Of Evidence Based Practices In Education., Lora T. Hall Dec 2025

A Comparision Of Teachers' Ratings Of Published Versus Ai-Generated Descriptions Of Evidence Based Practices In Education., Lora T. Hall

Electronic Theses and Dissertations

The persistent gap between educational research and classroom practice continues to limit teachers’ use of evidence-based practices (EBPs), despite strong empirical support and federal mandates encouraging their implementation. A key barrier to closing this research-to-practice gap is the limited accessibility, usability, and perceived relevance of traditional research dissemination formats. With the rapid rise of artificial intelligence (AI) tools capable of summarizing and restructuring complex information, this study examined whether AI-generated practitioner-oriented descriptions of an EBP would be rated differently from a published practitioner article on the same practice. Using an experimental cross-sectional survey design, 70 in-service teachers were randomly assigned …


An Exploration Of Factors Associated With Sport Fan's' Choice Of Ticketing Platforms., Jacob Owsley Dec 2025

An Exploration Of Factors Associated With Sport Fan's' Choice Of Ticketing Platforms., Jacob Owsley

Electronic Theses and Dissertations

This research study examined key experiential and demographic factors associated with sport consumers’ choice of online ticketing platforms. The research applied the technology acceptance model (TAM) to examine how trust, official sponsorship, user interface design, and price consciousness are associated with consumers’ choice between different online ticketing platforms.. Data were collected from 312 adult sport consumers in the United States through an online survey distributed across six Reddit communities focused on ticketing or research activities. Participants included individuals who bought tickets to professional sports events and attended these events during the last 12 months. The expert review process and two …


Further Characterization Of The Fungal Effector Mvlg-01732 In Planta And Heterologous Expression Of Fungal Effectors In Different Smut Fungi., Joseph Paul Ham Dec 2025

Further Characterization Of The Fungal Effector Mvlg-01732 In Planta And Heterologous Expression Of Fungal Effectors In Different Smut Fungi., Joseph Paul Ham

Electronic Theses and Dissertations

Host-pathogen interactions in smut fungi are characterized by effector proteins and their role in infection. The goal of this work is to better understand these interactions by further characterizing an effector from Microbotryum lychnidis-dioicae and heterologously expressing this and other effectors in heterologous species to see if the range of these effectors can play a role in pathogenicity when expressed in distantly and closely related fungal species. These effectors have been attuned over time to their host plant but have homologous interactors in other plant species. In this study, Microbotryum lychnidis-dioicae, Sporisorium reilianum, and Ustilago maydis, were all used …


Synthesis, Characterization, And Chemical Reactivity Of Calcium-Alginate Hydrogel Beads Containing Metal Nanoparticles And Nanoclusters., Rajiv Kumar Singh Dec 2025

Synthesis, Characterization, And Chemical Reactivity Of Calcium-Alginate Hydrogel Beads Containing Metal Nanoparticles And Nanoclusters., Rajiv Kumar Singh

Electronic Theses and Dissertations

This dissertation explores the synthesis, stability, and reactivity of various metal nanoparticles (NPs) and nanoclusters (NCs) of varied size and stabilizers contained within millimeter-sized calcium alginate (Ca-Alg) hydrogel polymer beads. Hydrogel beads synthesized by combining sodium alginate with Au or Ag NPs stabilized with trisodium citrate (Cit) and adding dropwise into a 4.0 M Ca2+ solution remained stable and contained within the beads. Those synthesized Au, Pd and AuPd NCs stabilized with glutathione (SG) became partially released from the hydrogel within a day. The synthesis of beads containing aggregated Cit Au NPs occurs by inducing aggregation with tetrakis(hydroxymethyl) phosphonium …


Integrating Due Process Into Large Language Models., Joshua Paul Johnson Dec 2025

Integrating Due Process Into Large Language Models., Joshua Paul Johnson

Electronic Theses and Dissertations

This research investigates the ability of large language models (LLMs) to recognize due process issues. Due process is a legal concept focused on the protection of the individual during interactions with government when life, liberty, or property are being impacted. Due process presents both substantive and procedural aspects that are challenging to incorporate into generative artificial intelligence. Through assessing model performance, creating benchmarking techniques, retrieval-augmented generation (RAG), and fine-tuning, this work seeks to measure due process recognition performance and improve performance in identifying due process issues. The results of evaluating larger parameter LLMs such as from Google, Meta, and OpenAI …


Understanding Social And Cognitive Influences In Medical Students' Learning Processes For Step 1: An Interpretivist Case Study., Ashley Elaine Triplett Dec 2025

Understanding Social And Cognitive Influences In Medical Students' Learning Processes For Step 1: An Interpretivist Case Study., Ashley Elaine Triplett

Electronic Theses and Dissertations

This qualitative interpretivist case study explores, at a singular institution, medical students’ perspectives on the social and cognitive factors influencing the learning process as students prepare for the Step 1 examination. While prior research regarding medical students Step 1 preparation have focused primarily on wellness, stress, and career outcomes, limited studies have examined medical students' lived experiences to navigate what occurs during the learning process while they prepare for this critical exam. Utilizing a qualitative case study approach, this dissertation draws on fourteen student interviews, seven that passed Step 1 on their first attempt, and seven that failed. Findings reveal …


Sensory And Motor Tectothalamic Circuits: Two Sides Of The Same Coin., Nazratan Naeem Dec 2025

Sensory And Motor Tectothalamic Circuits: Two Sides Of The Same Coin., Nazratan Naeem

Electronic Theses and Dissertations

Integration of sensorimotor information in the visual system has always been an intriguing topic to scientists, yet the subcortical sensory and motor circuits that are essential components of this process have remained elusive. In these studies, we used a blend of classical and contemporary techniques such as viral tracing, immunohistochemistry, optogenetics in-vitro whole cell electrophysiology, and electron microscopy in mice to characterize sensory and motor circuits of the superior colliculus (SC), a conserved visuomotor structure with connections with a wide variety of brain structures, including the thalamus. We focused on two SC cell types: visually responsive widefield vertical (WFV) cells …


The Important Of Female Coaches: What Barriers They Face, Why They Stay, And What Can Be Done To Attract More., Hayley E. Yourous Dec 2025

The Important Of Female Coaches: What Barriers They Face, Why They Stay, And What Can Be Done To Attract More., Hayley E. Yourous

Electronic Theses and Dissertations

After the passage of Title IX, there has been an increase in the number of females participating in sports; however, the same cannot translate to women in coaching or leadership positions (Acosta & Carpenter, 2014; Hart et al., 1986; LaVoi & Baeth, 2018). The purpose of this hermeneutic phenomenological study was to explore the lived experiences of females who had served as head coaches in the high school setting with at least eight years of experience as a head coach. The NCAA (2022) reported in 2020 that female coaches accounted for 41.3% of female teams' head coaches, both intercollegiate and …


Thermal Heterogeneity And Lithium Plating During Fast Charging Of Lithium-Ion Battery., Ayodeji Avis Adeniran Dec 2025

Thermal Heterogeneity And Lithium Plating During Fast Charging Of Lithium-Ion Battery., Ayodeji Avis Adeniran

Electronic Theses and Dissertations

Presently, widespread adoption of electric vehicles (EVs) is hindered by challenges associated with XFC, including heat generation, lithium plating, and accelerated battery degradation. This dissertation addresses these barriers through two coordinated themes—lithium plating and thermal management—spanning four manuscripts that integrate operando diagnostics, physics-based simulation, and module-level design optimization. The first theme seeks a fundamental investigation into the dynamic interplay between temperature heterogeneity and lithium plating during fast charging, a phenomenon that poses significant limitations on the performance of graphite-based anodes. Firstly, a custom operando cell with a sapphire window was designed to enable synchronized MWIR thermography and optical imaging of …


Alkali-Silica Reactivity And Ionic Transport In Mortar With Hydrophobic Inclusions., Isaac Offei Dec 2025

Alkali-Silica Reactivity And Ionic Transport In Mortar With Hydrophobic Inclusions., Isaac Offei

Electronic Theses and Dissertations

Alkali-silica reaction (ASR) causes extensive damage to concrete infrastructure worldwide, with traditional mitigation strategies increasingly constrained by supplementary cementitious material (SCM) supply limitations. This dissertation investigates an innovative approach to ASR prevention through strategic application of hydrophobic materials to modify moisture and ionic transport pathways in cement mortars. The research employed a comprehensive three-objective experimental program using highly reactive aggregates and three hydrophobic materials: hexamethyldisilazane (HMDS)-treated fumed silica, silane-based emulsion, and silane-based crème. The first objective demonstrated the feasibility of hydrophobic aggregate surface modification, achieving 46% and 38% reductions in ASR expansion for washed and non-washed hydrophobic aggregates, respectively. Microstructural …


What Will It Take To Keep You? A Phenomenological Investigation Of Teacher Career Decisions In Title I Elementary Schools., Tonya Nicole Holt Dec 2025

What Will It Take To Keep You? A Phenomenological Investigation Of Teacher Career Decisions In Title I Elementary Schools., Tonya Nicole Holt

Electronic Theses and Dissertations

This qualitative phenomenological study explored the factors influencing teachers’ decisions to remain in or leave Title I elementary schools in Kentucky. Grounded in Herzberg’s Motivation–Hygiene Theory, the study examined the interplay of intrinsic motivators and extrinsic conditions that shape teacher satisfaction, commitment, and attrition. Twelve current Title I teachers participated in semi-structured interviews designed to capture their lived experiences and perceptions of work in high poverty contexts. Analysis revealed a balance of pull factors—such as purpose, relationships, and supportive leadership—and push factors—including workload, resource limitations, and inadequate administrative support. Leadership quality emerged as the central variable mediating these forces. Teachers …


Building Bridges: An Appreciative Inquiry Approach To The Development Of Professional Learning To Enhance Teacher–Student Relationships For Students With Emotional Behavioral Disorders., Renee Renz Dec 2025

Building Bridges: An Appreciative Inquiry Approach To The Development Of Professional Learning To Enhance Teacher–Student Relationships For Students With Emotional Behavioral Disorders., Renee Renz

Electronic Theses and Dissertations

Positive teacher-student relationships are essential to student success yet are often difficult to create and maintain with students identified with Emotional Behavioral Disorders (EBD). Students with EBD frequently struggle with emotional regulation and disruptive behaviors, making relationships and trust both essential and challenging. This study addressed the need for professional learning that equipped educators with strategies to build and maintain positive relationships with students with EBD in secondary school settings. Guided by a participatory action research design, this study used Appreciative Inquiry as a framework for engaging expert secondary teachers from Kentucky in co-constructing professional learning. Appreciative Inquiry focused on …


The Autonomic And Arrhythmogenic Effects Of Gestational E-Cigarette Exposure., Brittany Rachelle Reynolds Dec 2025

The Autonomic And Arrhythmogenic Effects Of Gestational E-Cigarette Exposure., Brittany Rachelle Reynolds

Electronic Theses and Dissertations

Introduction. E-cigarettes (e-cigs) have been shown to be pro-arrhythmic in both human and male rodent studies; however, little is known about how e-cig use impacts patients with a predisposed heightened risk for arrhythmias, including pregnant women. Both pregnancy and e-cig use have independently been shown to increase heart rate, diminish heart rate variability, and increase ventricular premature beats, which is suspected to be due to sympathetic dominance. Importantly, β-blockers have been shown to reduce sympathetic activity, reduce heart rate, increase HRV, and reduce arrhythmias. Thus, the use of β-blockers may help prevent adverse health effects driven by sympathetic dominance from …


Tumor Infiltrating Lymphocytes: From Discovery To Clinical Application., Lewis Clayton Chew Dec 2025

Tumor Infiltrating Lymphocytes: From Discovery To Clinical Application., Lewis Clayton Chew

Electronic Theses and Dissertations

This thesis explores the evolution of TIL therapy from its discovery to clinical application, focusing on its use in treating metastatic cancer. Adoptive cell therapy (ACT), particularly TIL therapy, has emerged as a promising alternative to traditional treatments like chemotherapy. This review article traces the historical development of TILs, highlighting key experiments and clinical trials that have shaped its understanding and application as a therapeutic strategy for patients with metastatic and difficult to treat cancers including melanoma. Importantly, this article highlights recent advancements, including the FDA approval of Lifileucel, and explores emerging strategies to enhance therapeutic efficacy of TILs through …


Detecting Non-Axisymmetric Instabilities In Fluid-Based Manufacturing Via Multi-View Tensor Analysis., Bidusi Khadka Dec 2025

Detecting Non-Axisymmetric Instabilities In Fluid-Based Manufacturing Via Multi-View Tensor Analysis., Bidusi Khadka

Electronic Theses and Dissertations

Fluid-based manufacturing processes, such as inkjet printing and electrospinning, fabricate micro- and nano-scale structures with high precision, but are prone to complex fluid dynamics exhibiting axisymmetric and non-axisymmetric instabilities. Conventional monitoring often relies on single-camera inputs and symmetry assumptions, limiting the detection of three-dimensional anomalies like jet deflection. This study presents a novel multi-view streaming video-based anomaly detection framework to address this gap. The framework employs a modified Tensor Sequential Sampling (TSS) algorithm with edge-based sampling to capture geometric spatiotemporal features of each camera view using the videos obtained from an orthogonally positioned dual-camera setup. These features are fused with …


Be Yourself: Life History Of Gay K-12 Educators In Kentucky And Their Lived Experiences., Kevin L. Garner Dec 2025

Be Yourself: Life History Of Gay K-12 Educators In Kentucky And Their Lived Experiences., Kevin L. Garner

Electronic Theses and Dissertations

This qualitative life history study explored the lived experiences of gay male educators navigating authenticity, visibility, and advocacy in K–12 schools across Kentucky. Using Queer Theory as the primary framework, complemented by Queer Pedagogy, Culturally Relevant Pedagogy, and Minority Stress Theory, the research examines how social, institutional, and political contexts shape the professional lives and identity expression of gay men working in educational settings. Semi-structured, in-depth interviews were conducted with ten participants, each sharing life narratives that illuminated the intersection between personal authenticity and professional identity within politically and religiously conservative environments. Through reductive analysis and thematic …


The 4-Day School Week: Impacts On Rural Texas School Districts, Geoffery Bowdoin Dec 2025

The 4-Day School Week: Impacts On Rural Texas School Districts, Geoffery Bowdoin

Electronic Theses and Dissertations

This study examined how school administrators, teachers, and parents in rural Texas districts view the effects of the 4-day school week. Across Texas, a growing number of districts have adopted shorter calendars to address teacher shortages, boost morale, and manage tight budgets. The goal of this research was to gain a clearer understanding of how this schedule shift influences student performance, district finances, and teacher recruitment and retention. The study followed a qualitative descriptive approach. Data were collected through two means. Semistructured interviews were conducted with 12 school administrators, while 29 teachers and 42 parents completed surveys. Research participants came …


Strategic Enhancement Of Biofuel Production Using Bacillus Subtilis As A Model Organism: A Dual Approach Of Gene Essentiality Mapping And Optimization, Angela A. Zebede Dec 2025

Strategic Enhancement Of Biofuel Production Using Bacillus Subtilis As A Model Organism: A Dual Approach Of Gene Essentiality Mapping And Optimization, Angela A. Zebede

Electronic Theses and Dissertations

With rising global demand for renewable energy, enhancing microbial platforms for biofuel production is vital. This study engineered Bacillus subtilis to improve resilience to solvent stress by targeting membrane lipid biosynthesis pathways essential for integrity. Growth curve analysis (OD₆₀₀) showed that phosphatidylserine (PS) and phosphatidylethanolamine (PE) knockout strains grew significantly slower than wild type (168), indicating the importance of these lipids under stress. Laurdan fluorescence spectroscopy was used to assess membrane properties. Generalized polarization (GP) analysis revealed a concentration-dependent reduction in membrane order upon 1%–2% 1-butanol exposure. GP values declined progressively from control to 2% treatment, reflecting increased membrane fluidity …


Grokking Applied To Chaotic Iterates Of The Logistic Map, Felix Donkoh Dec 2025

Grokking Applied To Chaotic Iterates Of The Logistic Map, Felix Donkoh

Electronic Theses and Dissertations

This thesis investigates grokking, the delayed transition from memorization to generalization in neural networks trained on deterministic chaotic data. Using an integer–arithmetic discretization of the logistic map, yn+1 =( a yn(p − yn))/ p 2 , bounded aperiodic sequences were generated across control parameters α ranging from 3.0 to 4.0. Transformer-based models displayed characteristic grokking curves. In periodic and chaotic regimes, validation accuracy rose suddenly after long plateaus, while at the Feigenbaum boundary (α ≈ 3.57) generalization failed completely. Increasing data diversity restored learning in chaotic domains, and explicit α–conditioning enabled a single network to generalize across all regimes. A …


An Income Subsystem As A Discrete Stochastic Leslie System: A Simulation-Based Approach, Fahd Nii Okantah Cobblah Dec 2025

An Income Subsystem As A Discrete Stochastic Leslie System: A Simulation-Based Approach, Fahd Nii Okantah Cobblah

Electronic Theses and Dissertations

This thesis formulates the household-income engine of an integrated population sim- ulator as a Discrete Stochastic Leslie System (DSLS). The nonnegative state vector nt ∈ Rk + aggregates income, savings, debt, employment, and transfers. (Here, the subscript + denotes the positive cone, i.e., vectors with nonnegative components). Annual evolution is linear in state, stochastic in coefficients: nt+1 = Ttnt + εt, with Tt : Rk + → Rk + cone-preserving. Exogenous macro drivers (inflation, employment, tax, salary inflation, mortgage) are forecast via ARIMA; forecasts multiply entries of Tt, preserving linearity in expectation while introducing realistic temporal correlation. The discrete-event implemented …


Mountain Communities During A Time Of War: A Case Study Of The Hutsul Region In The Carpathian Mountains Of Ukraine, Pavlo Rybaruk Dec 2025

Mountain Communities During A Time Of War: A Case Study Of The Hutsul Region In The Carpathian Mountains Of Ukraine, Pavlo Rybaruk

Electronic Theses and Dissertations

This thesis investigates the ethno-ecological technologies employed by the Hutsul people within the highland agrarian economy of the Carpathian Mountains. Over centuries, the Hutsuls have developed ethno-ecological technologies that maintain ecological integrity while supporting community livelihoods.

The study addresses three primary research questions: What are the most important ethno-ecological technologies of the Hutsul highland economy? How might these traditional ethno-ecological practices be applied to economic, agricultural, and tourism development in the Hutsul region? How might these traditional ethno-ecological practices be combined with contemporary approaches to encourage sustainable development in the region?

The research explores the devastating impact of the Russian …


Perceptions Of Practitioners: An Examination Of Practices For Retention And Support Of Special Education Teachers, Megan L. O'Dell Dec 2025

Perceptions Of Practitioners: An Examination Of Practices For Retention And Support Of Special Education Teachers, Megan L. O'Dell

Electronic Theses and Dissertations

Teacher attrition remains a critical challenge in public education, particularly among special education teachers who face unique legal, instructional, and emotional demands. This phenomenological study explored the lived experiences of current and former K–5 special education teachers to better understand the practices and resources that influence their decision to remain in or leave the profession. The central research question investigated how leadership, professional learning, and working conditions shape teacher sustainability in special education roles. Twelve participants, including six currently employed special education teachers and six who had exited the profession, participated in semi-structured interviews. Data analysis revealed five major themes: …


Synthesis Of Phenyl-Substituted Zinc Dipyrrin Photosensitizer For Carbon Dioxide Reduction, Stephen Ankomah Dec 2025

Synthesis Of Phenyl-Substituted Zinc Dipyrrin Photosensitizer For Carbon Dioxide Reduction, Stephen Ankomah

Electronic Theses and Dissertations

The release of CO₂ from fossil fuel combustion drives the need for its conversion into more sustainable options like CO and CH₄ via photocatalytic reduction. This process requires a catalyst, sensitizer, and electron donor. Zinc dipyrrin-based complexes are promising photosensitizers, offering an alternative to expensive, rare-metal-based systems. Most first-row transition metal dipyrrin compounds have short excited-state lifetimes due to rapid nonradiative decay, but Zn(II) dipyrrin complexes stand out. With a d¹⁰ configuration, they lack deactivating ligand field states and can access long-lived triplet states through a charge-separated intermediate. A phenyl-substituted Zn(II) dipyrrin complex was synthesized and studied using NMR to …


Divergent Responses Of Branched-Chain And Straight-Chain Lipid Membranes To Butanol Stress Revealed By All-Atom Molecular Dynamics Simulations, Joshua Olaf Aggrey Dec 2025

Divergent Responses Of Branched-Chain And Straight-Chain Lipid Membranes To Butanol Stress Revealed By All-Atom Molecular Dynamics Simulations, Joshua Olaf Aggrey

Electronic Theses and Dissertations

Membrane integrity under chemical stress is critical to cellular survival and industrial microbial bioproduction, yet the molecular basis of bilayer resilience remains poorly understood. Using all-atom molecular dynamics simulation, we compare the effect of increasing concentrations of 1‑butanol on membranes composed of straight-chain (1,2-dipalmitoyl-sn-glycero-3-phosphocholine, DPPC) and branched-chain (1-anteiso-palmitoyl-2-palmitoyl-sn-glycero-3-phosphocholine, APPC) lipids, which differ in the point of attachment of a single methyl group. In the absence of butanol, both membranes exhibit well-ordered architectures consistent with experimental benchmarks; however, under increasing solvent stress, their behaviors diverge markedly. DPPC membranes display gradual thinning, modest area per lipid …


Exploring The Impacts Of Medical Invalidation On Postpartum Parents With Pcos, Shalini Venkat Dec 2025

Exploring The Impacts Of Medical Invalidation On Postpartum Parents With Pcos, Shalini Venkat

Electronic Theses and Dissertations

Individuals with polycystic ovary syndrome (PCOS) face an increased risk of poor perinatal health, yet little is known about whether negative healthcare experiences contribute toward these outcomes. Patients with PCOS have reported experiencing invalidation by healthcare providers; however, the effects of these encounters in postpartum populations remain unclear. Using data from an online survey, the current study investigated whether PCOS status moderated the relationships between invalidating communication by healthcare providers, pregnancy and birth complications, postpartum depression, and postpartum anxiety. While experiences of invalidating communication by healthcare providers predicted worse perinatal health, those with PCOS solely experienced an increased risk of …


Breaking The Silence With Routine Genitourinary Syndrome Of Menopause Screening: A Quality Improvement Project, Ashley R. Noel Dec 2025

Breaking The Silence With Routine Genitourinary Syndrome Of Menopause Screening: A Quality Improvement Project, Ashley R. Noel

Electronic Theses and Dissertations

Affecting upwards of 87% of women in post menopause, genitourinary syndrome of menopause is greatly under-diagnosed, and consequently, under-treated. Genitourinary syndrome of menopause refers to health conditions impacted by hypoestrogenic state experienced in menopause. Common symptoms of GSM include vaginal dryness, irritation, clitoral or labial atrophy, dyspareunia, decreased libido, anorgasmia, dysuria, recurrent UTI, urinary incontinence (Kaufman et al., 2025). Despite the burdensome consequences of GSM, women are unlikely to vocalize their symptoms and seek treatment. Additionally, societal beliefs of shame surrounding sexual health impede patients and clinicians from addressing GSM specifically (Mili et al., 2021). As a result, the North …


Improving Intimate Partner Violence Screening In Telehealth Mental Health Settings, Marina Oliynyk Dec 2025

Improving Intimate Partner Violence Screening In Telehealth Mental Health Settings, Marina Oliynyk

Electronic Theses and Dissertations

Intimate partner violence (IPV) is a pervasive yet frequently underrecognized public health concern, particularly within telehealth psychiatric care, where nonverbal cues may be absent. This quality improvement (QI) project aimed to improve the identification and response to IPV by implementing a standardized, evidence-based screening protocol in a private telepsychiatry practice. Guided by the Plan-Do-Study-Act (PDSA) framework, the validated E-HITS screening tool was introduced, along with structured trauma-informed care training, to six psychiatric-mental health nurse practitioners (PMHNPs). Six PMHNPs completed pre/post-confidence surveys (5-point Likert) and tracked screening activity across 100 telehealth encounters (98 of 100 visit were eligible). Over a three-month …